Possible causes of lateral testicular pain due to chronic prostatitis are reverse infection, radiating pain and nerve compression by an enlarged prostate. It can be relieved by medication and physical therapy.
1. Reverse infection: Since the prostate gland is connected to the testicles and epididymis through the vas deferens, if the prostatitis is not well controlled, the inflammation will spread to the epididymis and testicles along the direction of the vas deferens, and in serious cases, it will also lead to epididymitis and orchitis, which will cause testicular pain.
2. Radiating pain: Because some of the nerves in the spermatic cord flow into the scrotum along the vas deferens, the pain in the prostate will be transmitted to the scrotum through the nerves. Antispasmodic and analgesic drugs such as dizocin, ketorolac tromethamine, flurbiprofen ester can be taken to relieve the patient’s pain. Physical therapy such as hot water sitz baths and prostate therapy devices can also be used to reduce pain.
3. Enlarged prostate gland compresses the nerves: the enlarged prostate gland compresses the nerves traveling in the pelvic floor, causing lateral testicular pain. The enlarged prostate is due to inflammation, so anti-infection treatment is needed, such as drops or oral cephalosporin, ofloxacin and norfloxacin.
Chronic prostatitis causing lateral testicular pain that continues unrelieved, it is important to go to the hospital and find the best treatment plan.